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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSE DAVID WINSLOW RUSSELL PA-C
NPI 1659040590
Physician Assistant in Canby, OR

Active since September 13, 2021PECOS Enrolled
1185 S ELM ST, CANBY, OR 97013(503) 723-4660(503) 266-6649 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Jul 3, 2025, Sep 13, 2021 (3 updates tracked since 2021).

About Jesse David Winslow Russell Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE DAVID WINSLOW RUSSELL PA-C (NPI 1659040590) is an individual physician assistant in Canby, Oregon, licensed in Oregon (PA203927) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Providence Willamette Falls Medical Center, and maintains a secondary practice location in Canby.

NPPES Registry Identity

NPI1659040590
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJESSE DAVID WINSLOW RUSSELLCredential: PA-C
Location Address1185 S ELM STCanby, OR 97013-3935
Mailing AddressPo Box 1517Pendleton, OR 97801-0410 · (877) 708-1119 · Fax (541) 278-8349
Phone(503) 723-4660
Fax(503) 266-6649
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 13, 2021
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1659040590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA203927
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA203927 (OR)
1185 S ELM ST, Canby, OR 97013
Open in Google Maps ↗

Secondary Practice Location 1

Location 1345 N Grant StCanby, OR 97013-3689 · Phone (503) 266-2066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse David Winslow Russell Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092193144
PECOS Enrollment IDI20220602001339
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
200 services118 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
116 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
50 services50 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
37 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNE EILEEN BLUST ANP
Nurse Practitioner (Adult Health)
1185 S ELM ST
CANBY, OR 97013
Clackamas County (503) 723-4670
ESTHER LEHMANN DO
Family Medicine
1185 S ELM ST
CANBY, OR 97013
Clackamas County (503) 723-4660
MS. SUSAN TROY FEE ANP GNP
Nurse Practitioner (Gerontology)
1185 S ELM ST
CANBY, OR 97013
Clackamas County (503) 723-4670
KATHLEEN MCAULIFFE M.D.
Family Medicine
1185 S ELM ST
CANBY, OR 97013
Clackamas County (503) 723-4660
MICHAEL T CSASZAR MD
Family Medicine
1185 S ELM ST
CANBY, OR 97013
Clackamas County (503) 723-4660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Russell's NPI number?

The NPI number for Jesse Russell is 1659040590. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Jesse Russell located?

Jesse Russell practices at 1185 S Elm St, Canby, OR 97013. The listed phone number is (503) 723-4660.

What is Jesse Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jesse Russell enrolled in Medicare?

Yes. Jesse Russell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jesse Russell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jesse Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jesse Russell affiliated with any hospitals?

According to CMS data, Jesse Russell is affiliated with Providence Willamette Falls Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Russell was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.